Hormone therapy can be effective to relieve menopausal and andropausal symptoms. But how does it affect sexual desire, physical intimacy, and emotional closeness between partners? Learn more about the benefits and limitations of hormone replacement therapy, including risks and side effects.
What is HRT?
Hormone replacement therapy (HRT) is a medical treatment that replaces hormones naturally produced by women's ovaries after menopause and men's testes during andropause. It consists of pills, creams, patches, or implants containing estrogen or testosterone to alleviate hot flashes, vaginal dryness, mood swings, memory loss, fatigue, insomnia, muscle weakness, and other symptoms associated with aging. The goal is to restore levels of reproductive hormones to those found before puberty.
How does HRT work?
Taking estrogen or testosterone supplements has been shown to improve libido, arousal, and orgasms in postmenopausal and andropausal people.
Results vary widely from person to person due to factors such as age at onset of menopause/andropause, body composition, lifestyle habits, psychological health, medical history, and genetics. Some people experience an immediate increase in desire and satisfaction, while others may need several weeks or months to see significant changes.
Benefits of HRT
For some couples, HRT can help resolve issues related to sexual dysfunction, communication problems, emotional distance, or relationship conflicts stemming from declining hormone levels. By reducing hot flashes and night sweats, it makes intimacy more comfortable and enjoyable. Estrogen increases blood flow to the pelvic region, improving sensitivity and lubrication. Testosterone stimulates sexual desire and erectile function, strengthening the bond between partners.
Limitations of HRT
There are potential risks associated with long-term use of HRT, including increased risk of heart disease, stroke, breast cancer, ovarian cancer, prostate cancer, and blood clots. Side effects include weight gain, nausea, headaches, mood swings, acne, hair growth, depression, fatigue, and irritability.
HRT is expensive and not always covered by insurance. It's important for individuals considering this treatment to weigh their options carefully with a doctor before starting therapy.
How do hormonal therapies for menopause or andropause influence intimacy?
Hormonal therapies may have both positive and negative effects on intimacy during menopause or andropause. For women, they can help alleviate some of the physical symptoms associated with menopause such as hot flashes, vaginal dryness, and mood swings, which can improve overall sexual function.